NPI 1013187178

Jack Devore, OD

Organisation Eyewear Supplier Delmar, NY

Practice location

Address: 4 Normanskill Blvd, Delmar, NY 12054-1335
Phone: (518) 478-9992
Fax: (518) 439-0796

Authorised official

Name: Jack Devore
Title: Owner
Phone: (518) 478-9992

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence VUT003734 (NY)

Other Eyewear Supplier providers in New York →

Registry record

NPI: 1013187178
Entity type: Organization
NPI issued: 5 Mar 2008
Record last updated: 30 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.